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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2259</article-id><article-id pub-id-type="doi">10.15690/vramn2259</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>OBSTETRICS AND GYNAECOLOGY: CURRENT ISSUES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ ВОПРОСЫ АКУШЕРСТВА И ГИНЕКОЛОГИИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Immune Landscape Characteristics in Endometriosis</article-title><trans-title-group xml:lang="ru"><trans-title>Характеристика иммунного ландшафта при эндометриозе</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4620-3922</contrib-id><contrib-id contrib-id-type="spin">6460-1758</contrib-id><name-alternatives><name xml:lang="en"><surname>Patsap</surname><given-names>Olga I.</given-names></name><name xml:lang="ru"><surname>Пацап</surname><given-names>Ольга Игоревна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>МD, PhD</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><email>Cleosnake@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3526-0366</contrib-id><name-alternatives><name xml:lang="en"><surname>Khabarova</surname><given-names>Marina B.</given-names></name><name xml:lang="ru"><surname>Хабарова</surname><given-names>Марина Борисовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>МD, PhD</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><email>khabarovaMB@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="scopus">57218589485</contrib-id><contrib-id contrib-id-type="researcherid">AGU-7781-2022</contrib-id><contrib-id contrib-id-type="spin">5725-7792</contrib-id><name-alternatives><name xml:lang="en"><surname>Buyanova</surname><given-names>Anastasiia A.</given-names></name><name xml:lang="ru"><surname>Буянова</surname><given-names>Анастасия Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Laboratory Assistant</p></bio><bio xml:lang="ru"><p>лаборант</p></bio><email>anastasiiabuianova97@gmail.com</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4822-0956</contrib-id><contrib-id contrib-id-type="spin">8105-7908</contrib-id><name-alternatives><name xml:lang="en"><surname>Mikhalev</surname><given-names>Sergey A.</given-names></name><name xml:lang="ru"><surname>Михалев</surname><given-names>Сергей Александрович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>МD, PhD</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><email>mikhalev@me.com</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8347-4556</contrib-id><contrib-id contrib-id-type="spin">3830-8152</contrib-id><name-alternatives><name xml:lang="en"><surname>Atyakshin</surname><given-names>Dmitriy A.</given-names></name><name xml:lang="ru"><surname>Атякшин</surname><given-names>Дмитрий Андреевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>МD, PhD</p></bio><bio xml:lang="ru"><p>д.м.н.</p></bio><email>atyakshin-da@rudn.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5485-5803</contrib-id><contrib-id contrib-id-type="spin">3815-4541</contrib-id><name-alternatives><name xml:lang="en"><surname>Babkina</surname><given-names>Alexandra  V.</given-names></name><name xml:lang="ru"><surname>Бабкина</surname><given-names>Александра Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD</p></bio><bio xml:lang="ru"><p>врач-патологоанатом</p></bio><email>nikanorovaalex@gmail.com</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2052-914X</contrib-id><contrib-id contrib-id-type="spin">2086-7513</contrib-id><name-alternatives><name xml:lang="en"><surname>Mikhaleva</surname><given-names>Liudmila M.</given-names></name><name xml:lang="ru"><surname>Михалева</surname><given-names>Людмила Михайловна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>МD, PhD, Professor, Corresponding Member of the RAS</p></bio><bio xml:lang="ru"><p>д.м.н., профессор, член-корреспондент РАН</p></bio><email>mikhalevalm@yandex.ru</email><xref ref-type="aff" rid="aff5"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Peoples’ Friendship University of Russia</institution></aff><aff><institution xml:lang="ru">Российский университет дружбы народов</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Pirogov Russian National Research Medical University</institution></aff><aff><institution xml:lang="ru">Российский национальный исследовательский медицинский университет имени Н.И. Пирогова</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">City Clinical Oncological Hospital No. 1</institution></aff><aff><institution xml:lang="ru">Городская клиническая онкологическая больница № 1</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">B.V. Petrovsky Russian Scientific Center of Surgery</institution></aff><aff><institution xml:lang="ru">Российский научный центр хирургии имени академика Б.В. Петровского</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2023-03-04" publication-format="electronic"><day>04</day><month>03</month><year>2023</year></pub-date><volume>78</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>5</fpage><lpage>10</lpage><history><date date-type="received" iso-8601-date="2022-10-27"><day>27</day><month>10</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2023-02-03"><day>03</day><month>02</month><year>2023</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2023, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2023, Издательство "Педиатръ"</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2024-03-04"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://vestnikramn.spr-journal.ru/jour/about/submissions</ali:license_ref></license></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/2259">https://vestnikramn.spr-journal.ru/jour/article/view/2259</self-uri><abstract xml:lang="en"><p><italic>This review is devoted to endometriosis-associated immune cells and immune molecules, analysis of various databases, new insights, theories, biomarkers, reviews of research in this area. To date, many attempts have been made to establish a certain role of immune cells and the microenvironment in the development of endometriosis. Nevertheless, despite intensive studies of endometriosis, the role of inflammatory cells and molecules has not yet been fully studied. As we know, the pathobiology of endometriosis is not fully understood, and its progression is associated with a local and systemic inflammatory reaction. It is important to clarify the role of the immune system to better understand its significance in the pathogenesis of endometriosis, especially in the case of atypical and endometriosis-associated ovarian tumors. The above requires further study of this problem in order to optimize the pathogenetically justified modern therapy of endometriosis.</italic></p></abstract><trans-abstract xml:lang="ru"><p><italic>Обзор посвящен эндометриоз-ассоциированным иммунным клеткам и иммунным молекулам, анализу различных баз данных, а также полученным новым представлениям, теориям, биомаркерам, исследованиям в этой области. До настоящего времени было предпринято много попыток определения роли иммунных клеток и микроокружения в развитии эндометриоза. Тем не менее, несмотря на интенсивные исследования эндометриоза, роль клеток и молекул воспаления освещена не в полном объеме. Сегодня достаточно поверхностно изучены патобиология эндометриоза и роль в прогрессировании заболевания местной и системной воспалительной реакции. Не уточнены роль иммунной системы и ее значение в патогенезе эндометриоза, в том числе в случаях атипичного эндометриоза и эндометриоз-ассоциированных опухолей яичников. Вышеизложенное требует дальнейшего изучения данной проблемы с целью оптимизации патогенетически обоснованной современной терапии эндометриоза.</italic></p></trans-abstract><kwd-group xml:lang="en"><kwd>immune cells</kwd><kwd>endometriosis</kwd><kwd>pathogenesis</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>иммунные клетки</kwd><kwd>эндометриоз</kwd><kwd>патогенез</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Méar L, Herr M, Fauconnier A, et al. Polymorphisms and endometriosis: A systematic review and meta-analyses. Hum Reprod Update. 2020;26(1):73–102. doi: https://doi.org/10.1093/humupd/dmz034</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Agarwal SK, Chapron C, Giudice LC, et al. Clinical diagnosis of endometriosis: A call to action. 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